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Causes of morning heel pain and its management – Dr. Hanume Gowda

Heel pain is a very common problem especially in women compared to me. It will be early morning pain, as you sleep at night and wake up in the morning, you have a pain and you walk for few steps, 8 – 10 steps, then improve. The same can happen when you sit for half an hour and get up. You can get it, you can get pain. Again you take few steps, 8 – 10 steps, then your pain will go out. This condition is grouped into a condition called plantar fasciitis, also called heel pain. Most of the time, there are no causes for this, it just happens. Over time, there is a fat from the heel pad, between the bone and the skin, which flatten or become worn. When they wear out, the bone will start to take on more load. This is the most common cause. The other is, there is a tissue called fascia, which connects the heel one to the fingers. The plantar fascia from the heel to the toe can become stiff, also giving rise to this pain. This occurs because of multiple reasons, such as rheumatoid arthritis, uric acid problems that lead to gout and gout related or type of gout of arthritis. Here are more types of arthritis that can lead to pain, but most of the time the reason is unknown. It can be an old injury like a stone or a thorn that has pricked you. The stone would have come out, but the fat part is injured, leading to long-term pain. Sometimes the infection can also cause pain. How to handle this? An easier way is by the exercises, the stretching of the plantar fascia, which is the stretching of the foot. Secondly the use of soft shoes. We have microcellular rubber, microcellular polymer sneakers. There is silicone heel pillow. For people who wear shoes you can use the silicon cup inside the shoes and that will also help. Sometimes, with all this pain does not go down, give painkillers and do physical therapies in the form of ultrasonic massage. If this does not work, give local steroid injections. With an injection, more than 70 – 80% will get relief. If it does not help, then we have to operate and clear the heel. So the pressure on the heel and then the pain is also reduced.